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General NPI Number Information
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NPI Number | 1710547849
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Entity Type | Individual
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Provider Name | MELISSA KRESS
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Gender | Female
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Dates
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Enumeration Date | 06/20/2019
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 2349 JAMESTOWN AVE STE 3
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City | INDEPENDENCE
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State | IA
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Zip | 50644-9709
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Country | US
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Telephone | 319-334-4010
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Fax | 319-334-7265
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Provider Business Mailing Address
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Address Line | 107 N 7TH ST
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City | QUASQUETON
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State | IA
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Zip | 52326-9756
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Country | US
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Telephone | 319-521-2492
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 095859
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License Number State | IA
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